Dialysis Reports, State and Region Profiles, and the Quality Incentive Program.
The Dialysis Facility Reports (DFRs), Quarterly Dialysis Facility Compare (QDFC) reports, and State and Region Profiles are created under contract to the Centers for Medicare & Medicaid Services (CMS) to provide dialysis facilities, patients, state surveyors, and regions with valuable information on patient characteristics, treatment patterns, hospitalization, mortality, and transplantation patterns in their facilities.
The Quarterly Dialysis Facility Compare (QDFC) Reports provide Networks and Facilities with advance notice of new and updated quality measures for their facility prior to being displayed on
Dialysis Facility Compare.
These measures are updated quarterly in January, April, July, and October of each year. Please
click here for the QDFC report timeline.
The end-stage renal disease (ESRD) Quality Incentive Program (QIP) is the first Medicare program that links provider or facility payments to performance, based on outcomes assessed through specific quality measures. These measures are important indicators of patient outcomes and are at the core of medical management of ESRD patients.
What information is included in the DFRs and DFC Reports?
These reports include information about directly actionable practice patterns such as dose of dialysis, vascular access, and anemia management, as well as patient outcomes (such as mortality, hospitalization, and transplantation) that can be used to inform and motivate reviews of practices.
The information in the report facilitates comparisons of facility patient characteristics, treatment patterns, and outcomes to local and national averages.
Such comparisons help to evaluate patient outcomes and to account for important differences in the patient mix - including age, sex, race, and patients’ diabetic status - which in turn enhances each facility’s understanding of the clinical experience relative to other facilities in the state, Network, and nation.
What are the DFRs and DFC Reports used for?
The reports are intended to be used by facilities in their quality improvement efforts.
State surveyors use data reported in the DFRs to make decisions on which facilities to survey during the upcoming year.
The DFC report provides facilities with advance notice of new and updated quality measures that will be reported on the Dialysis Facility Compare website, allowing dialysis patients to review and compare characteristics and quality information on dialysis facilities in the United States.
Please note the DFC report includes the DFC preview previously reported on Page 2 of the DFR.
Who has access to the DFRs and DFC Reports?
The DFRs and DFC reports are provided to facilities, ESRD Networks, State Survey Agencies, and Regional Offices annually and quarterly, respectively.
Authorized users can access the facility reports by logging in to the secure site.
Dialysis facilities are encouraged to submit comments during the comment period on the secure site if they have questions or concerns regarding their reports.
A sample of each report may be downloaded from the Methodology section of this web site.
State and Region Profiles
State and Region Profiles are provided to the state survey agencies and CMS regional offices annually.
They include maps and tables comparing state or region information as well as the Dialysis Facility Reports for every facility in the state or region.
The State and Region Dialysis Profiles are available only to the corresponding State Survey Agency or CMS Regional Office.
Authorized users can access the Profiles by logging into the secure site.
What is the Quality Incentive Program (QIP)?
The ESRD QIP is the nation's first pay-for-performance (also known as "value-based purchasing") quality incentive program developed by CMS and mandated by the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) section 153(c). This program provides the ESRD community with the opportunity to enhance the overall quality of care that patients with ESRD receive as they battle this devastating disease.
The ten measures adopted for Payment Year (PY) 2015 of the ESRD QIP include clinical and reporting measures alike. The six clinical measures include the percentage of Medicare patients with an average Hemoglobin >12.0 g/dL, measures of dialysis adequacy (including measures for adult hemodialysis, adult peritoneal dialysis, and pediatric hemodialysis), and measures of vascular access type (including measures for arterial venous fistula and catheter). The four reporting measures address anemia management, dialysis event reporting to the National Healthcare Safety Network (NHSN), In-Center Hemodialysis Consumer Assessment of Healthcare Providers and Systems (ICH CAHPS) patient experience of care survey, and mineral metabolism reporting. These measures are at the core of medical management of patients with ESRD.
FOR DIALYSIS FACILITIES AND STATE SURVEYORS
DialysisReports.org is administered by:
Arbor Research Collaborative for Health and the University of Michigan Kidney Epidemiology and Cost Center (KECC).